SWM Venue Contract: Please include the venue contract if available at this time.

Are there any costs that will be associated with this event, such as venue, catering, presenter honorarium, or supplies? If so, please list them here. A separate check request form must be completed when payment needs to be sent.

Special Request: Please list all specific requests you have for this event. Some examples are: A reminder sent on a specific date; online registration counts provided on a certain date; or sponsors added to the marketing materials.

If yes, please provide the winners names, credentials and what award the person won if you have that information. If not, please provide an anticipated date when you will have this information.

Do you want NASW-FL Chapter Office to create Certificates of Appreciation? *

Yes

No

If yes, please provide the names and credentials for the Certificates of Appreciation. If you do not know at this time, please provide an anticipated date when you will have this information so we can follow up with you.